| Sudeep Nair, MD | |
|
602 S 42nd St, Suite B, Mount Vernon, IL 62864-6264 | |
| (618) 899-3777 | |
| (618) 242-2378 |
| Full Name | Sudeep Nair |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 602 S 42nd St, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376582999 | NPI | - | NPPES |
| CK7203 | Other | IL | RR GROUP NUMBER |
| 110143249 | Other | IL | RR MEDICARE |
| 036092998 | Medicaid | IL | |
| 04108653 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036092998 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Ssm Health At Home Hospice-illinois | Mount vernon, IL | Hospice |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Crossroads Community Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 103 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Sudeep Nair, MD 602 S 42nd St, Suite B, Mount Vernon, IL 62864-6264 Ph: (618) 899-3777 | Sudeep Nair, MD 602 S 42nd St, Suite B, Mount Vernon, IL 62864-6264 Ph: (618) 899-3777 |
Dr. Emmanuel Loutrianakis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 847-736-0506 | |
Dr. Iqbal M Akhter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 S.42nd St., Bldg A Ste. 4, Mount Vernon, IL 62864 Phone: 618-242-4626 Fax: 618-242-4638 | |
Hammad Shafqat, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-1380 | |
Daniel Hoffman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2 Good Samaritan Way, Suite 420, Mount Vernon, IL 62864 Phone: 618-899-4000 Fax: 618-899-4790 | |
Mohamed Ruzaik Ibrahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4115 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-315-6090 | |
Kirandeep Khangura, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4113 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-241-9071 | |
Dr. Mohammed Haseeb, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4204 Williamson Pl, Mount Vernon, IL 62864 Phone: 618-244-2525 Fax: 618-244-3666 |